BRIAN E. KELLY (MD) – Family Medicine Physician, NPI 1659341212

BRIAN E. KELLY (MD) is a healthcare provider. based in Wabasha, Minnesota. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 41302 (MN). The NPI Number for BRIAN E. KELLY (MD) is 1659341212

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN E. KELLY (MD)
NPI
1659341212
Phone
(651) 565-4571
Address
1202 5TH GRANT BLVD
Enumeration Date
25 January 2006
Last Update Date
22 January 2024

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
6513453321
Graduation Year
1990 (36 years ago)
PAC ID
4385530138
Group Practice PAC ID
1951213487
Professional Enrollment ID
I20060510000481

Contacts

Secure Messaging
bkelly88102@ehrdirect.mayoclinicmsg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for BRIAN E. KELLY (MD)

  • Grant Boulevard West, Wabasha, Wabasha County, Minnesota, 55981, United States

    WABASHA, MN 559811042

    Phone: (651) 565-4571

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $36.

Total Amount is formed as General ($36) + Research ($0) + Ownership ($0) = $36.

Last reported payment date: 2023-10-20 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($36).

Total Amount

$36

General + Research + Ownership

Payments

1

Total payment records

General Amount

$36

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GlaxoSmithKline, LLC.$36
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-05-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040317001269IFamily PracticeWITBD
I20060510000481IFamily PracticeMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55981)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951213487View full group profile
NameSpecialtyState
Diagnostic RadiologyTN
-MN
Diagnostic RadiologyMN
Pulmonary DiseaseMN
Advanced Heart Failure And Transplant Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine, Cardiovascular Disease (Cardiology)MN
Diagnostic RadiologyNE
Diagnostic RadiologyMN
P A T H O L O G YWI
-MN
-MN

Reviews

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Frequently asked questions

Is there an official ID for BRIAN E. KELLY (MD) in U.S. healthcare records?
The official identifier for BRIAN E. KELLY (MD) is NPI 1659341212.
Is BRIAN E. KELLY (MD) shown as active in public data?
Registry records indicate BRIAN E. KELLY (MD) maintains an active NPI.
How would a patient describe BRIAN E. KELLY (MD)'s focus?
For BRIAN E. KELLY (MD), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for BRIAN E. KELLY (MD)?
Travel planning: use Wabasha, Minnesota as the reference point for BRIAN E. KELLY (MD), then confirm.
Can I trust this NPI listing for BRIAN E. KELLY (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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